Finding Long-Term Care Solutions for a Mother with Bipolar Disorder

Q: Finding Long-Term Care Solutions for a Mother with Bipolar Disorder

Hello： Since your mother has a medical history at Shin Kong Hospital, it is advisable to seek assistance from the hospital and discuss with the physician the most appropriate treatment for her condition. <br>While involuntary hospitalization requires certain conditions, it is not

The mother has a long history of depression and bipolar disorder?

My mother has been emotionally unstable for as long as I can remember.
When I was a child, I would accompany her to see doctors regularly and try to cheer her up.
However, as I grew older, her condition worsened.
Many incidents occurred during this time, such as retaliatory affairs, nonsensical talk, filing false accusations against my father, and complaints against any administrative agency she found displeasing.
Frequent hysterical outbursts were also common.
I have genuinely tried to maintain family harmony, but my mother is like a ticking time bomb, ready to explode at any moment, which has significantly affected my siblings and me mentally (to the point where we have needed to see a psychiatrist).

Our family has been very accommodating, and social workers and health counselors have visited, but it has been ineffective (she even irrationally blames the caregivers).
For the sake of my siblings and my grandparents' mental and emotional well-being, I truly hope to find out if there are places in Taiwan where my mother can be long-term housed and receive treatment.
Previously, I consulted with the social services, and they mentioned that the way to isolate my mother from the family is through "involuntary hospitalization," which requires gathering evidence and assessments.
However, I want to know if there are any placement centers where she can stay with the consent of direct relatives.
If such places exist, what conditions must be met?
(Condition: My mother's previous psychiatrists seemed to only prescribe medication regularly.
Later, when I accompanied her to Shin Kong Hospital, the doctor noted her gradual improvement and reduced her medication.
Generally, she takes medications like Depakote in the morning and evening.
She often experiences inexplicable rage or crying spells, and in severe cases, she has attacked people with scissors.
Even as a child, I was given medication by her.
Currently, she has a habit of suing others, including family members.) I would greatly appreciate any guidance!

M, 20~29 year old female. Ask Date: 2016/02/19

Dr. Qiu Junda reply Psychiatry

Hello: Since your mother has a medical history at Shin Kong Hospital, it is advisable to seek assistance from the hospital and discuss with the physician the most appropriate treatment for her condition.
While involuntary hospitalization requires certain conditions, it is not extremely difficult.
You may consult with the physician first if your mother is unwilling to seek treatment.
Providing medical access and coordinating efforts among healthcare professionals, law enforcement, and emergency services should help ensure that your mother receives proper treatment.

Reply Date: 2016/02/19

More Info

Finding appropriate long-term care solutions for a loved one with bipolar disorder can be a challenging and emotional journey, especially when the individual has a history of severe mood instability and behavioral issues. In your case, it sounds like your mother has been struggling with her mental health for a long time, and the impact on your family has been significant. Here are some steps and considerations that may help you navigate this situation in Taiwan.

Understanding Bipolar Disorder and Its Impact
Bipolar disorder is characterized by extreme mood swings, including manic episodes (elevated mood, increased activity) and depressive episodes (low mood, decreased activity). These fluctuations can lead to unpredictable behavior, which can be distressing for both the individual and their family. Given your mother's history of severe mood episodes, including aggression and legal disputes, it is crucial to ensure she receives comprehensive care that addresses both her mental health needs and the safety of those around her.

Seeking Long-Term Care Options
1. Consult with Mental Health Professionals: Since your mother has a history with mental health services, it would be beneficial to reconnect with her psychiatrist or a mental health professional who understands her case. They can provide insights into her current condition and recommend appropriate treatment plans, including medication adjustments and therapy options.

2. Explore Residential Treatment Facilities: In Taiwan, there are various mental health facilities and rehabilitation centers that offer long-term care for individuals with severe mental health issues. These facilities can provide a structured environment where your mother can receive continuous psychiatric care, medication management, and therapeutic support. You may want to inquire about:
- Psychiatric Hospitals: Some hospitals have dedicated wards for long-term care of patients with severe mental health conditions.

- Community Mental Health Centers: These centers often provide outpatient services but may also have resources for residential care.

- Private Rehabilitation Centers: Some private facilities specialize in mental health and may offer more personalized care.

3. Legal Considerations for Involuntary Treatment: If your mother poses a danger to herself or others, you may need to consider the legal route for involuntary treatment. This process typically involves:
- Gathering Evidence: Document instances of dangerous behavior, such as aggression or self-harm.

- Medical Evaluation: A psychiatrist must evaluate her condition and determine if she meets the criteria for involuntary commitment.

- Court Proceedings: In some cases, a court order may be required to facilitate involuntary treatment.

4. Family Support and Counseling: It’s essential to prioritize the mental health of you and your siblings as well. Family therapy or support groups can provide a safe space to discuss your feelings and experiences, helping you cope with the stress of caregiving.

5. Community Resources: Reach out to local mental health organizations or non-profits that specialize in bipolar disorder. They can offer resources, support groups, and information about available services in your area.

Conditions for Admission to Care Facilities
When considering admission to a care facility, the following conditions may be relevant:
- Medical Necessity: Documentation from a healthcare provider indicating that your mother requires long-term care due to her mental health condition.

- Family Consent: As you mentioned, obtaining consent from immediate family members is often necessary for admission.

- Financial Considerations: Understand the costs associated with long-term care and explore options for financial assistance or insurance coverage.

Conclusion
Navigating the complexities of long-term care for a parent with bipolar disorder is undoubtedly challenging. It is essential to approach this situation with compassion, understanding, and a focus on safety for both your mother and your family. By exploring the available resources, seeking professional guidance, and considering the legal options for care, you can find a path that supports your mother's health and well-being while also protecting your family's mental health. Remember, you are not alone in this journey, and there are professionals and organizations ready to assist you.

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